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�wl2. IZ-oo� <br /> �-'� APPLICATION for <br /> �'' PUBLIC WORKS PERMIT <br /> PUBLIC WORKS DEPARTMENT <br /> "'�� :� 3200 Cedar Street <br /> -� Everett, WA 98201 425 'r 257-8810 <br /> Date � � � � 7i <br /> Owner Name: 5��� �� ��n� � �bpPlicant Name: �.7DP�}{� �( du°Rk �S�nH L.� <br /> _� <br /> Mailing Address: o�7D7 �,/�43Y Al� Mailing Address: oZ����C.5 C� �� <br /> �— <br /> . <br /> 5c���° �aoo ,�EvErrar� wq 98�01 MT Verrrn� wA rK�7P <br /> Phone Number: �S— oZSa S�OD Phone Number. 3(pQ l�� 7�(0�, /3� 333-��3 <br /> Descripfion of Work: ^�V1E0�'i� `J(LU�/.�Ph-� T►2-Y <br /> �A drawing or plans may be needed fo iilustrate work to be done) <br /> Site Addresr. ( � u� �A(,°( F� � �lJf.- G/e�ffT � W� <br /> Comments from Inspector during initial inspeclion: � <br /> V � �S ��bWN �N� ��fr"*�" �vt 11�/ I � <br /> �s.`�e� <br /> Approved for issuance by: Da1e: <br />